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Contact Information

DEGROOT FOOT & ANKLE CLINIC, PC
1938 E LINCOLN HWY
SUITE 206
NEW LENOX, IL60451-3810
 Phone: 815-462-9225
 Fax: 815-462-5385
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for DEGROOT FOOT & ANKLE CLINIC, PC

NPI Number 1063691681
LBN Legal business name DEGROOT FOOT & ANKLE CLINIC, PC
Authorized official MARY DEGROOT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/31/2007
Last updated 04/30/2015 - About 11 years ago
Identifiers
IL License # 016005141
IL Other 0009932678 BLUE CROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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